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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL I � II III PHS-EH LOG # ' 2-3 <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> (p'Z - <br /> Original Source: L IiEV2h Telephone: <br /> Reporting Agency Name: 1:R td �-{tb"'..'0 i 0 ('L i,A tV --I �. OL z---" r5 <br /> Agency Contact: 1(A y , y Telephone: ( Zai) 4&6- 342-(-) <br /> Address: 1 l'C I C7— O A tF -ta)n i ANO �� ���j LP CL5 2CL <br /> i <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: 1�-:� f . '5 ELL,=;(J <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: U n 1 Y r 4f l <br /> Date Notified: it , i % x, Time: � n m <br /> D. RESPONSIBLE PERSONBUSINESS <br /> Name of Business 0.64EV+ZnO <br /> ' _ r <br /> Contact Person: -WPtij rGA Telephone: ( JL<�) 542, 9-32-?) <br /> Physical Address: _44 I D ' Am A,(C, RLMO 0 v i �mU nA r ( t' 9-c f, S-n,- oo <br /> E. DESCRIPTION <br /> Type Release:0L ST <br /> Volume: j4iy-flo(,' fj <br /> i <br /> Chemicals: ;A c�,• , r, i P. <br /> F. ACTION TAKEN <br /> �Jz l C r i9-;- A«u�vt <br /> AS <br /> FH 22 03 (Rev. 7/89) <br />